{
"Npi": {
"NPI": "1760564637",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HUHN",
"FirstName": "STEPHANIE",
"MiddleName": "NICOLE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BROOKS",
"OtherFirstName": "STEPHANIE",
"OtherMiddleName": "NICOLE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1028 S. BISHOP AVE",
"SecondLineMailingAddress": "PMB 201",
"MailingAddressCityName": "ROLLA",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65401",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-995-2213",
"MailingAddressFaxNumber": "573-240-9752",
"FirstLinePracticeLocationAddress": "706 S BISHOP AVE STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROLLA",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65401-4333",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-995-2213",
"PracticeLocationAddressFaxNumber": "573-240-9752",
"EnumerationDate": "10/20/2006",
"LastUpdateDate": "10/28/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "2013030154",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}